Bariatric Surgery in Istanbul

Bariatric surgery is a group of weight-loss surgeries that involves making changes to the digestive system, some of which are non-reversible. The idea behind these types of surgeries is to help patients lose weight by either limiting the amount of food they can consume/digest at any one time or reducing their body’s ability to absorb nutrients. Some procedures do both. 

Bariatric surgeries should only ever be the final option when diet and exercise have proved inadequate and there are now serious health concerns caused by a person's weight. In general, these surgeries can only be an option for patients whose body mass index (BMI) is 40 or higher (extreme obesity). In certain cases, patients whose BMI is 30 to 39.9 may qualify for certain types of bariatric surgery if they have serious weight-related problems, such as type 2 diabetes.

The three most common types of Bariatric Surgeries are as follows:

1. Gastric Sleeve – The most common surgery, in which about 80% of the stomach is irreversibly removed, resulting in a sleeve or tube-like structure. This smaller stomach will not be able to hold as much food and produces less of the hormone that regulates appetite (ghrelin), which can lessen the patient’s desire to eat. 
2. Gastric Bypass – A more complicated procedure in which the stomach is divided into two parts; a small upper pouch and a large lower ‘remnant’ pouch. The small intestine is rearranged to bypass the large pouch. As a result, the volume of the stomach is significantly reduced. This causes food to go into the small upper pouch of the stomach and then directly into the small intestine. The small upper pouch can only hold around an ounce of food. Gastric Bypass is typically not reversible. 
3. Gastric Band – Involves an inflatable silicone device that is fitted around the top portion of the stomach to create a smaller stomach pouch. This procedure causes the patient to feel fuller with less food but still allows the body to digest food as usual, without malabsorption. The device can be removed when the patient reaches their desired weight.

The bariatric surgeries mentioned above are typically performed laparoscopically, in which the surgeon creates around one to five small incisions in the abdomen to insert a laparoscope (a long narrow tube with a camera) and surgical tools. The patients are usually given a general anesthetic, so they will not feel anything throughout the surgery.

How Long Should I Stay in Istanbul?

After bariatric surgery, an overnight stay in the hospital is usually required. In some cases, you may need to stay longer (around 3 to 5 days). However, it is not advisable to leave Istanbul as soon as you are discharged from the hospital. Stay at least 10 to 14 days following your surgery for initial recovery and follow-up checkups. During the follow-up checkups, your surgeon will remove your stitches and check your overall condition.

What's the Expected Recovery Time?

The recovery time may take around 3 to 6 weeks until you are allowed to go back to your normal activities, including work, with some restrictions. You must avoid heavy work and strenuous activities, such as lifting, pushing, or carrying heavy loads for at least the first three months after surgery. You should also avoid sitting and standing without moving for long periods to avoid blood clots forming in your legs.

What Aftercare is Required?

You will be given a special diet plan immediately after your surgery, as well as detailed post-operative instructions. Make sure to follow the diet plan and instructions to avoid complications and speed up your recovery. In order to maximize and maintain weight loss, it is important that you commit to healthy eating and regular exercise. There may be restrictions on how much food you can consume. You may also need to change your eating habits, such as eating 6 small meals instead of 3 large meals each day. You should take vitamins and mineral supplements to ensure proper nutrition. 

What's the Success Rate?

The success rates vary for each of the different types of bariatric surgery. In general, within the first six months following the surgery, most patients lose around 30% to 55% of their excess weight. Then, as early as 12 months after surgery, most patients lose over 70% of their excess weight. Patients could also maintain a 50% to 60% loss of excess weight for 10 to 14 years after their bariatric surgery. Although the success rates are high, there are risks associated with bariatric surgery, such as bleeding, deep vein thrombosis, infections, spleen injury, stenosis, and infections.

Are there Alternatives?

There is a non-surgical Bariatric procedure, known as the Gastric Balloon. This involves an inflatable device that is temporarily inserted into the stomach via endoscopic placement. A sizable area of the stomach is obstructed by the balloon or balloons, thus reducing the amount of food it can contain at any one time, leading to eventual weight loss. The balloons are usually removed after 6 or 12 months. 

If you cannot or do not want to undergo any surgery or medical procedure, you may be able to work with a doctor who is experienced in treating extreme obesity and a dietician as the alternative. They may recommend you to change your diet, adding physical activity, and prescribe medications.

Bariatric Surgery in and around Istanbul

About Istanbul

Turkey has the unique distinction of being situated on two continents. You can see the influence of both the Asian and European cultures. Istanbul is the most populous city in this beautiful country and is the historical and financial center of Turkey.

Istanbul overlooks the Bosporus strait, a water body that separates Asia and Europe. Millions of travelers visit every year making it one of the world’s most popular destinations. You can visit UNESCO world heritage sites, old architectural monuments, and also experience the cultural heritage.

Istanbul consists of popular shopping malls. Spread over a huge area, the Grand Market is the first mall in the world that has a covered market style. The city is also famous for seafood restaurants and hotels serving Ottoman cuisine. Istanbul also offers a very active nightlife with many wine houses lining the streets. It also hosts many cultural and music festivals. Some of the renowned museums and monuments add to the list of attractions for tourists.

A recent study reveals that the city is becoming a well-known location for extraordinary healthcare facilities. People from all over Europe, Asia, and other countries come to Istanbul for surgical and non-invasive procedures. It has the advantage of providing an excellent medical system and housing well-qualified doctors as strict medical protocols regulate the industry.

Another interesting fact is that clinics here have affiliations with world-renowned hospitals of the USA and Europe. People come here for different types of surgical procedures. Some of the more common types are Rhinoplasty and breast augmentation procedures.

The medical techniques used here is comparable to any other world-class facility. At the same time, the medical procedures cost only a fraction of the price of developed countries like the UK and the USA. You can come here for any medical treatment and combine it with a relaxing vacation.

There are many excellent Hospitals in Istanbul such as the Hisar Intercontinental Hospital, Medipol Mega University Hospital, and Medicana International Istanbul Hospital.

Popular Areas in Istanbul

Istanbul is divided into 39 districts which all comprise multiple areas and neighborhoods.

• Sultanahmet is the most popular area for tourism in Istanbul as it holds the Hagia Sofia, Blue Mosque, Topkapı Palace, and the movie-famous Basilica Cistern. You can stay here but it's a little more expensive in this area for shopping and food.

• Beyoglu is the best area to stay in and ensure that you are close to Istiklal Street, Taksim Square, and Galata Tower. In these areas, you will be in the heart of the city’s never-ending hustle and bustle while feeling like a local. The food and nightlife are excellent here, and the areas are picturesque and beautiful.

• Sisli is one of the high-end business areas in Istanbul and much quieter than Taksim or Sultanahmet.

Weather and Climate in Istanbul

Istanbul experiences hot summers and cold winters with snow being a common feature. Spring (April to May) and autumn (September to late November), are the best times to visit Istanbul when temperatures are cooler.

Getting around in Istanbul

Istanbul has three international airports. The oldest is Atatürk, which was the third busiest airport in Europe. The airport is now closed for commercial aircraft and is open only for cargo, business, and government flights. The new airport, the Istanbul Airport, caters to most of the travelers coming from other countries. Turkish Airlines and other major world airlines connect the City to other big cities in Asia, Europe, and other countries. The third airport, İstanbul Sabiha Gökçen, operates some international flights, but It usually operates more domestic flights.

Istanbul has a vast network of trains, trams, buses, and ferries. These connect all the different parts of the City. In fact, the City has one of the largest ferry services across the Bosporus and the Black Sea. There is an integrated card-less trip enabled system across the city in different modes of transport.

Tourist Visas in Istanbul

Citizens from other countries in the European Union can visit Turkey with their national ID card and do not need a visa. You can find out if you need a visa to visit Turkey from the official website of the Turkish ministry of foreign affairs.

The country has an easy system of e-visa to help travelers from other countries. Citizens from countries like the US, UK, Australia, and others can also obtain a visa on arrival. People from most countries in Asia need an e-visa.

The pre-conditions to obtaining a visa are that your passport must be valid for the duration of your stay and for 60 days longer. The visa issued for visit and trade purposes is valid for 90 days. For longer durations and for medical reasons, you will have to apply to the consulate to get a long-term visa. E-visa fees and visas on arrival are not expensive and you can pay using your credit card.

Additional Information

1. The Local Currency is Turkish Lira or TL. The currency code is TRY. Shopkeepers do not mind taking Euros if you run out of the local currency. The exchange rate fluctuates and depends on political turbulence. Even then it is very inexpensive to live here. The usual exchange rate against the US Dollar may range between 4.0 TRY to 5.5 TRY per Dollar.
2. You can use credit cards in all big places such as hospitals, hotels, restaurants, and shops. However, you must carry a minimum amount of cash to be on the safe side. Taxis, transport, and small shops may not accept card payments. Cash payment may also get you some lucrative discounts in certain places. ATMs are safe and you can withdraw the local currency from one.
3. It is customary to tip at least 5 to 10 % of the bill amount in most places. The staff prefers local currency only.
4. Turkish is the official and the most common language spoken. In most hospitals and tourist places, people speak decent English. In fact, people here are fluent in English and other European languages.
5. Turkey has been influenced by all of the major religions including Islam, Christianity, and Judaism. Yet most follow Islam.
6. Culturally, Istanbul is a diverse country. People celebrate religious and national festivals with a lot of enthusiasm. January 1 New Year’s Day, April 23 National Sovereignty & Children's Day, May 1 Labor & Solidarity Day, and August 30 Victory Day are some of the national holidays here. Apart from this, the Ramadan feast is a significant festival. Dates, however, change every year due to the differences in the religious calendar.